title: Challenges of surgical trauma emergency admission.
abstract: BACKGROUND
  Trauma still remains as one of the leading causes for mortality in Western civilization. The early clinical management of severely injured patients leads to structural and organizational challenges involving different specialties.
  Trauma team leaders have to coordinate diagnostic and therapeutic steps in cooperation with different involved specialties. Furthermore, they have to make decisions based on contrary department-depending assessments. In addition, several special injuries commonly found in multiple traumatized patients require special attention.
  
  
  BACKGROUND
  Actually, structural changes in generating trauma networks are to be mentioned. Trauma networks suggest to improve patients survival in close cooperation between hospitals with different structural and personal capabilities. Close communication networks are required to guarantee transportation to an adequate trauma center.
authors.affiliation: Trauma Department, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. frink.michael@mh-hannover.de
authors.forename: Michael
authors.initials: M
authors.lastname: Frink
authors.forename: Philipp
authors.initials: P
authors.lastname: Mommsen
authors.forename: Hagen
authors.initials: H
authors.lastname: Andruszkow
authors.forename: Christian
authors.initials: C
authors.lastname: Zeckey
authors.forename: Christian
authors.initials: C
authors.lastname: Krettek
authors.forename: Frank
authors.initials: F
authors.lastname: Hildebrand
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D014947:Wounds and Injuries / Q000150:complications / Q000473:pathology / Q000601:surgery*